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Idaho rates for HCPCS 21743

Repair Pectus Excavatm/Carinatm Minly W/Thrsc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,657.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,388.17 / $2,032.52 / $3,474.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,747.68 / $2,330.23 / $2,767.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,514.63 / $2,772.19 / $3,892.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $2,000.00 / $3,900.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,834.98 / $8,126.28 / $9,927.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,318.38 / $3,195.87 / $3,219.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $10,120.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,266.52 / $1,868.58 / $3,067.26